Individual
MRS. DANIELLE MITTERANDO KANSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
63 TINDALL RD, MIDDLETOWN, NJ 07748-2723
(732) 706-6061
(732) 706-9575
Mailing address
63 TINDALL RD, MIDDLETOWN, NJ 07748-2723
(732) 706-6061
(732) 706-9575
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
25MT00060000
NJ
Other
Enumeration date
05/06/2008
Last updated
05/06/2008
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